The verdict in three sentences
For an Amsterdam practice with eight physiotherapists and 520 sessions a week, software costs range from about EUR 450 a month for the essentials to around EUR 850 a month with online booking and SMS reminders. A custom patient exercise app adds EUR 10,000 to 30,000 and has to meet NEN 7510 grade information security, because exercise plans and progress notes are health data. The middle tier pays for itself in most practices, since reminders and self booking cut no shows and front desk time far more than they cost.
Module price grid
These are 2026 estimates for the Dutch market, excluding VAT, to be confirmed with vendors.
| Module | Price range | What drives the price |
|---|---|---|
| Practice management software (records, treatment plans, insurer claims) | EUR 35 to 100 per therapist per month | Claims to insurers via Vecozo, outcome measures, reporting |
| Online booking | EUR 25 to 70 a month per practice | Number of calendars, booking rules per complaint |
| SMS reminders | EUR 0.06 to 0.12 per message | Volume, sender ID, personalisation |
| Secure hosting for a custom module | EUR 80 to 250 a month | NEN 7510 aligned provider, backups, SLA |
| Custom patient exercise app | EUR 10,000 to 30,000 | Video library, progress tracking, messaging |
| App maintenance | EUR 150 to 400 a month | Update frequency and support hours |
Claims to Dutch health insurers run through certified practice software and the sector's secure exchange, so that core is bought, never built. Custom work makes sense around it: home exercise programmes, sports club partnerships, employer packages.
Three tiers with exact contents
| Tier | Contents | Monthly cost | Upfront cost |
|---|---|---|---|
| Essential | Practice software at EUR 50 for 8 therapists, online booking at EUR 50 | EUR 450 | EUR 0 to 800 setup |
| Plus | Practice software at EUR 70 for 8 therapists, online booking at EUR 60, about 2,250 SMS at EUR 0.09 | EUR 822.50 | EUR 800 to 1,500 |
| Premium | Plus, with custom exercise app, secure hosting at EUR 150 and maintenance at EUR 250 | EUR 1,222.50 | About EUR 18,000 |
A remote team can bring the Premium build cost down: Kolonell, for instance, builds simple web apps for 1,500,000 to 2,500,000 FCFA (about EUR 2,300 to 3,800) in 1 to 2 months, with maintenance from EUR 38 to 115 a month, while secure health data hosting remains a separate contract with a compliant provider.
Real cost per session
At 520 sessions a week, about 27,000 sessions a year, software is a small line next to session revenue.
| Tier | Annual cost | Cost per session | Note |
|---|---|---|---|
| Essential | EUR 5,400 | EUR 0.20 | No reminders |
| Plus | EUR 9,870 | EUR 0.37 | Reminders on every session |
| Premium, year one | EUR 32,670 | EUR 1.21 | Includes app build |
| Premium, later years | EUR 14,670 | EUR 0.54 | Subscriptions, hosting, maintenance |
| Premium with remote build, year one | EUR 18,170 | EUR 0.67 | App built for about EUR 3,500 |
Mini case study
Illustrative example: Sanne, co owner of a physiotherapy practice in Amsterdam Oost, eight therapists, 520 sessions a week. Missed appointments run at 5%, or 26 empty slots a week.
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With the Plus tier, day before SMS reminders bring that down to 2%, recovering about 16 sessions a week. At an average of roughly EUR 45 per session and 46 working weeks, that is about EUR 33,120 a year. The Plus tier costs EUR 4,470 a year more than Essential, so the practice gets back more than seven times the extra spend. Sanne plans the exercise app for year two, aimed at post surgery patients and a partnership with two local football clubs.
FAQ
How much does physiotherapy software cost in Amsterdam?
Practice management software runs roughly EUR 35 to 100 per therapist per month in 2026. For eight therapists with online booking, budget EUR 300 to 900 a month.
Can we build our own claims software?
Not realistically: insurer claims require certified software connected to the sector's secure exchange. Custom work should sit around that core, for example a EUR 10,000 to 30,000 exercise app.
Are SMS reminders worth paying for?
Usually yes: about 2,250 messages a month cost EUR 135 to 270. Recovering just 6 sessions a month covers that cost.
What security standard applies to a patient app?
Dutch healthcare expects NEN 7510 aligned information security on top of GDPR. Choose hosting that documents it, typically EUR 80 to 250 a month.
How long does a custom exercise app take?
A first version with video exercises and progress tracking takes 2 to 4 months with a local agency. A remote team can deliver a simple version in 1 to 2 months.
Let's scope your project. Tell us about your practice, your current software and what you want patients to do between sessions, and we will price a patient app with a clear timeline. Detailed quote within 48 h. WhatsApp +221 77 596 93 33.
Mohamed Bah
Fondateur, Kolonell
Passionate about digital and entrepreneurship in Africa, Mohamed has been helping Sénégalese businesses with their digital transformation since 2020. Founder of Kolonell, he believes every SME deserves a professional and accessible online présence.
